All-inside repair of meniscal bucket handle tears: a retrospective study at mean 4-years follow-up evaluation.

Autor:	Nobile F; Orthopaedic Surgeon, Department of Orthopedics and Traumatology, Montevarchi, Arezzo, Italy., Condello V; Orthopaedic Surgeon, Orthopedic Department, Clinica Humanitas Castelli, Bergamo, Italy., Madonna V; Orthopaedic Surgeon, Orthopedic Department, Clinica Humanitas Castelli, Bergamo, Italy., Screpis DU; Orthopaedic Surgeon, Orthopaedic Department, Sacro Cuore - Don Calabria Hospital, Negrar, Verona, Italy., Di Donato SL; Orthopaedic Surgeon, Department of Orthopaedics, University of Naples Federico II, Naples, Italy., Kon E; Associate Professor, Humanitas University, Department of Biomedical Sciences, Via Rita Levi Montalcini 4, 20090 Pieve Emanuele, Milan, Italy & Humanitas Clinical and Research Center, IRCCS, Via Manzoni 56, 20089, Rozzano (MI) & First Moscow State Medical University, Sechenov University, Moscow, Russia, Italy., Marcacci M; Full Professor, Humanitas University, Department of Biomedical Sciences, Via Rita Levi Montalcini 4, 20090 Pieve Emanuele, Milan, Italy & Humanitas Clinical and Research Center, IRCCS, Via Manzoni 56, 20089, Rozzano (MI), Italy., Di Matteo B; Adjunct Professor, Humanitas University, Department of Biomedical Sciences, Via Rita Levi Montalcini 4, 20090 Pieve Emanuele, Milan, Italy & Humanitas Clinical and Research Center, IRCCS, Via Manzoni 56, 20089, Rozzano (MI), Italy., Zorzi C; Head of Department, Orthopaedic Department, Sacro Cuore, Don Calabria Hospital, Negrar, Verona, Italy.
Jazyk:	angličtina
Zdroj:	Journal of biological regulators and homeostatic agents [J Biol Regul Homeost Agents] 2020 Jul-Aug; Vol. 34 (4 Suppl. 3), pp. 183-190. Congress of the Italian Orthopaedic Research Society.
Abstrakt:	Bucket-handle tears represent approximately 10% of all meniscal tears. Despite the common treatment is subtotal meniscectomy, repair is technically feasible although complex, and represents a key strategy to avoid severe meniscal tissue loss that could accelerate joint degeneration over time. The aim of this retrospective study was to determine the outcomes of arthroscopically-assisted bucket-handle tear repair, and to identify factors correlating with clinical results. Fifty-four patients affected by meniscal bucket handle tear were included in the present retrospective analysis and evaluated up to mean 4-years follow-up. All patients were treated by arthroscopic-assisted all-inside repair. The primary outcome was considered the need for a re-operation due to failure of meniscal repair. Patients were also evaluated by the following items: KOOS, Lysholm, Tegner, IKDC-subjective and Quadruple-VAS score. Subgroup analysis was performed to identify whether concurrent ACL reconstruction, side of the lesion, age at surgery and time from injury to repair could influence clinical outcome. Ten out 54 patients (18.5%) were considered failed and needed reoperation, mainly within one year from surgery. Overall, there was a significant increase in all clinical scores considered and patients were able to get back to previous sport activity level. Patients with concurrent ACL reconstruction presented a lower risk of failure (p=0.025). Patients with lateral meniscus repair showed better clinical outcome compared to medial meniscus. Timing from injury and age at surgery did not correlated with clinical outcome. Our series showed fair results in bucket handle repair up to middle term evaluation. Concomitant ACL reconstruction was associated with lower failure rate whereas lateral meniscus involvement was associated with higher functional scores at final follow-up evaluation. (Copyright 2020 Biolife Sas. www.biolifesas.org.)
Databáze:	MEDLINE
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